title: How we do it: clinical management of the child receiving a second, bilateral cochlear implant.
abstract: For children to gain maximum benefit from a second, bilateral cochlear implant clinicians need to be aware of the special needs of the family and child, and to adapt their clinical management appropriately. This article describes how the situation of the family considering a second implant is different, and how the decision to be made differs from that for a first implant. The information specific to sequential implants that should be provided so families can make an informed decision is reviewed. Programming issues unique to sequential bilateral cochlear implants are discussed. Finally, information is provided on how children may respond post-operatively, and what can be done to promote bilateral device use and the development of listening skills with the new implant.
authors.affiliation: Department of Otolaryngology, The University of Melbourne, Australia.
authors.forename: Karyn Louise
authors.initials: KL
authors.lastname: Galvin
authors.forename: Jaime Roanne
authors.initials: JR
authors.lastname: Leigh
authors.forename: Kathryn Clare
authors.initials: KC
authors.lastname: Hughes
mesh_terms: D002648:Child; D019929:Cochlear Implantation / Q000379:methods*; D003054:Cochlear Implants; D003638:Deafness / Q000601:surgery* / Q000628:therapy; D003657:Decision Making; D005190:Family; D006801:Humans; D016896:Treatment Outcome